Double-barrelled wet colostomy formation after pelvic exenteration for locally advanced or recurrent rectal cancer.
Bloemendaal AL., Kraus R., Buchs NC., Hamdy FC., Hompes R., Cogswell L., Guy RJ.
In advanced pelvic cancer it may be necessary to perform a total pelvic exenteration. In such cases urinary tract reconstruction is usually achieved with the creation of an ileal conduit with a urinary stoma on the right side of the patient's abdomen and an end colostomy separately on the left. The potential morbidity from a second stoma may be avoided by the use of a double-barrelled wet colostomy (DBWC), as a single stoma. Another advantage is the possibility of using a vertical rectus abdominis muscle flap for perineal reconstruction.All patients undergoing formation of a DBWC were included.A DBWC was formed in 10 patients. One patient underwent formation of a double-barrelled wet ileostomy.In this technical note we present our early experience in 11 cases and a video of DBWC formation in a male patient.